Marlene Dabestan, NP
Individual provider Active NPI Family Nurse Practitioner · Talent, OR
NPI 1831828474 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1831828474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 202210327NP-PP (OR)
- Practice address
- 296 S Pacific Hwy
Talent, OR 97540-6649 - Phone
- (541) 646-9928
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nisha Jackson Inc
Practice addresses (Care Compare)
3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone (541) 494-9355
Hospital & facility affiliations
- Asante Rogue Regional Medical Center
- Asante Ashland Community Hospital
- Fairchild Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220808002771 | OR | Practitioner - Nurse Practitioner | 6204218290 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95021112 | CA | MD | Family Nurse Practitioner |
| 202210327NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onepeak Southern Oregon PC | Current |
Accepting new patients |
Locations
1325 NE 7th St
Grants Pass, OR 97526
Phone (541) 460-5331
3265 Hillcrest Park Dr
Medford, OR 97504
Phone (541) 275-6655
296 S Pacific Hwy
Talent, OR 97540
Phone (541) 535-2551
8336 Highway 62
Ste 101
White City, OR 97503
Phone (541) 538-5111
Interoperability endpoints
- marlene.dabestan.p1@direct.opm.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95021112 | CA | |
| Family Nurse Practitioner | 363LF0000X | 202210327NP-PP | OR | Yes |
Addresses
Primary practice location
296 S Pacific Hwy
Talent, OR 97540-6649
Mailing address
3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone (541) 646-9928
Other providers in Talent, OR
- Cascadia Counseling Services LLC
- Cherocreek Nation
- Gene Richard Chester
- Tom K. Clunie
- David Allen Cohen
- Kathryn J Damas
- Dotare LLC
- Justin Brandon Farris
- Rylee Dawn Foreman
- Ute Frommer Sherbow
All providers in Talent, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.